Healthcare Provider Details

I. General information

NPI: 1669759239
Provider Name (Legal Business Name): GARRETT SIPES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 5TH AVE STE 101
CHAMBERSBURG PA
17201-4224
US

IV. Provider business mailing address

830 5TH AVE STE 101
CHAMBERSBURG PA
17201-4224
US

V. Phone/Fax

Practice location:
  • Phone: 717-709-7977
  • Fax:
Mailing address:
  • Phone: 717-709-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2011027492
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP450212
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: